MASON CONNOLLY D.C.
NPI 1336154210
Chiropractor in O Fallon, IL

Q: What is Mason Connolly's NPI number?

The NPI number for Mason Connolly is 1336154210. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Q: What is Mason Connolly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Mason Connolly was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2006

138C EAGLE DR, O FALLON, IL 62269(618) 622-1793(618) 622-1795 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mason Connolly D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASON CONNOLLY D.C. (NPI 1336154210) is an individual chiropractor in O Fallon, Illinois, licensed in Illinois (038-009170) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1336154210

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameMASON CONNOLLYCredential: D.C.

Location Address138C EAGLE DRO Fallon, IL 62269-1882

Mailing Address138c Eagle DrO Fallon, IL 62269-1882 · (618) 622-1793 · Fax (618) 622-1795

Phone(618) 622-1793

Fax(618) 622-1795

Sole ProprietorYes

Enumeration DateJuly 29, 2006

Last NPPES UpdateOctober 4, 2016

✔ NPI 1336154210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in IL · 038-009170

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

138C EAGLE DR, O Fallon, IL 62269

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Other Identifiers 3

Other08227539IL · Bluecross/ Blue Shield

Medicare UPINU84992IL

Medicare ID-Type Unspecified624470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mason Connolly's NPI number?

The NPI number for Mason Connolly is 1336154210. It was assigned to this individual provider in the NPPES registry on July 29, 2006.

Where is Mason Connolly located?

Mason Connolly practices at 138C Eagle Dr, O Fallon, IL 62269. The listed phone number is (618) 622-1793.

What is Mason Connolly's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mason Connolly was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.